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Near‐Fatal ICD Lead Dysfunction with Implications for ICD Testing
Author(s) -
WUTZLER ALEXANDER,
ATTANASIO PHILIPP,
HAVERKAMP WILHELM,
BLASCHKE FLORIAN
Publication year - 2016
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.12776
Subject(s) - medicine , implantable cardioverter defibrillator , ventricular fibrillation , programmer , defibrillation , cardiology , lead (geology) , geomorphology , computer science , programming language , geology
A 31‐year‐old male patient with an implantable cardioverter defibrillator (ICD) experienced ventricular fibrillation. After resuscitation, no communication between the device and an ICD programmer was possible. The ICD was explanted, no signs of destruction were visible, and the ICD leads revealed normal values. A new ICD was implanted, interrogation values were stable. However, immediately after defibrillation testing the connection between programmer and ICD was interrupted and could not be established again. The device showed burn marks and a hole in the can. Analysis revealed an isolation defect of the ICD lead, which was not detectable with standard interrogation.